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general medicine

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This is an online e-log platform to discuss case scenario of a patient with their guardians permission.  I have been given this case to solve in an attempt to understand the topic of patient clinical data analysis to develop my competency in reading and comprehending clinical data including histoty, clinical findings, investigations and come up with a diagnosis and treatment plan. CASE: A 61 year old female who is resident of narketpally, came to OPD on 21st november at 12am with Chief complaints of:  - stiffness of muscles of hands and neck  - slurred speech - deviation of mouth towards right. History of present illness: Patient was apparently asymptomatic 10yrs back and then she developed faintness, numbness and tingling sensation, burning sensation of hands and foot espcially during night and was diagnosed with Diabetes Mellitus for which she is on medication. 8months back she developed neck pain, headache, leg pain, body pains and was diagnosed with Hypertension for w...

general medicine

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29 years old female with 2 children Chief complaint:-   indigestion   pain in the right hypochondrium  weight loss in 6 months giddiness since 6 months heart burn since 6 months   She was apparently asymptomatic 6months back , after her normal vaginal delivery she started complaining of indigestion and pain in the right hypochondrium(more during nights)and while eating food , after that her mother observed she was lossing the weight then they went to the public hospital and used medication for 5 months and they advised for usg abdomen .  usg suggestive of abscess and gall stones - advised for admission but they refused to admit  Not associated with nausea but she used to self induce vomiting  Giddiness - non postural not associated with vertigo and    tinnitus or ear fullness  Past history : Not a k/c/o dm , htn , epilepsy , tb . Personal history: Diet : decreased intake of food i/v/o pain abdomen and indigestion  Appetite: nor...